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Intermittent Pringle Maneuver and Hepatic Function: Perioperative Monitoring by Noninvasive ICG-Clearance

dc.contributor.authorTralhão, JG
dc.contributor.authorHoti, E
dc.contributor.authorOliveiros, B
dc.contributor.authorAbrantes, AM
dc.contributor.authorBotelho, MF
dc.contributor.authorCastro e Sousa, F
dc.date.accessioned2009-09-21T11:12:59Z
dc.date.available2009-09-21T11:12:59Z
dc.date.issued2009
dc.description.abstractBACKGROUND: Intermittent Pringle maneuver or selective portal clamping often are used to control inflow during parenchymal liver transection. This study was designed to determinate whether these maneuvers are associated with adverse hepatic function. METHODS: Resection was performed without portal clamping in 17 patients (group 1). Selective continuous portal clamping was performed in 11 patients (group 2) and the remaining 33 patients (group 3) had intermittent nonselective portal clamping (occlusion of the main portal trunk). The centers' protocol for total portal occlusion is 15-min occlusion alternated with 5-min reperfusion in patients with normal liver parenchyma or 10 min alternated with 5 min in patients with abnormal parenchyma. ICG elimination tests were conducted concurrently using a noninvasive monitor that tracks the plasma disappearance rate (PDR-ICG-%/min) and 15-min retention rate after administration (ICG-R15-%). RESULTS: There was no statistically difference between the three studied groups in terms of sequential changes of ICG-PDR (p < 0.625) or ICG-R15 (p < 0.398). CONCLUSIONS: Our study indicates that 15 min of intermittent Pringle maneuver or selective hemihepatic continuous portal clamping are safe methods of vascular control during liver resection, with no adverse effects on hepatocellular function.pt
dc.identifier.citationWorld J Surg. 2009 Sep 16.pt
dc.identifier.urihttp://hdl.handle.net/10400.4/665
dc.language.isoengpt
dc.publisherSpringerpt
dc.rights.uriopenAccessen
dc.subjectHepatectomiapt
dc.titleIntermittent Pringle Maneuver and Hepatic Function: Perioperative Monitoring by Noninvasive ICG-Clearancept
dc.typejournal article
dspace.entity.typePublication
rcaap.typearticlept

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